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J Gynecol Obstet Biol Reprod (Paris). 2007 Jun;36(4):384-8. Epub 2007 Feb 7.

[Anesthetic management of 52 deliveries in parturients with idiopathic thrombocytopenic purpura].

[Article in French]

Author information

  • 1Département d'anesthésie-réanimation, hôpital Antoine-Béclère, 157, rue de La-Porte-de-Trivaux, 92140 Clamart, France.

Abstract

OBJECTIVES:

To study the anesthetic management of parturients with idiopathic thrombocytopenic purpura (ITP) which is a frequent cause of thrombocytopenia in pregnant women and may lead to a dilemma since a low platelet count usually dictates not to perform epidural anesthesia.

MATERIALS AND METHODS:

We report a retrospective study assessing the anesthetic management of 39 parturients with ITP corresponding to 52 deliveries found in a database of 10,203 deliveries over a 52-month-period.

RESULTS:

On the day of delivery, 32 parturients (61.5%) had a platelet count less than 100,000/mm(3) and 19 (36.5%) received a neuraxial block. Six parturients with a platelet count less than 100,000 mm(3) (19%) received neuraxial analgesia. The lowest platelet count among women who received epidural analgesia was 88,000/mm(3). No anesthetic or neurological complication occurred.

CONCLUSION:

Regional anesthesia should not necessary be withheld in ITP when the platelet count is less than 100,000/mm(3).

PMID:
17289294
DOI:
10.1016/j.jgyn.2006.12.023
[PubMed - indexed for MEDLINE]
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